MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Health Services Research' source. Thu, 09 Feb 2012 10:12:56 +0100 http://www.medworm.com/index.php?rid=5654798&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01376.x ConclusionsOur findings suggest that public insurance initiatives that provide states with flexibility regarding eligibility and plan design are a viable policy approach to reducing uninsurance rates. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5654798 Thu, 02 Feb 2012 05:00:00 +0100 5654798 http://www.medworm.com/index.php?rid=5654797&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01377.x ConclusionsThe top‐performing ACCs in the VA system shared six relatively recognizable characteristics. Efforts to improve performance should focus on these domains. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5654797 Thu, 02 Feb 2012 05:00:00 +0100 5654797 http://www.medworm.com/index.php?rid=5654796&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01378.x ConclusionsThe findings suggest that (1) coverage expansions, even if they substantially reduce patient cost sharing, do not necessarily increase physician utilization, and (2) increasing the generosity of provider payments in public programs can improve access among low‐SES children, and, through spillover effects, increase higher‐SES children as well. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5654796 Wed, 01 Feb 2012 05:00:00 +0100 5654796 http://www.medworm.com/index.php?rid=5602663&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01370.x ConclusionImplementation of a commercially available EHR in primary care practice may improve diabetes care and clinical outcomes. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5602663 Wed, 18 Jan 2012 15:46:45 +0100 5602663 http://www.medworm.com/index.php?rid=5602665&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01369.x ConclusionsMultiple contact and mixed‐mode surveys may increase response rates, but they do not necessarily reduce nonresponse bias. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5602665 Tue, 17 Jan 2012 05:00:00 +0100 5602665 http://www.medworm.com/index.php?rid=5602664&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01368.x ObjectiveTo examine trends in employer‐sponsored health insurance coverage rates and its associated components between 2000 and 2008, to provide a baseline for later evaluations of the Affordable Care Act, and to provide information to policy makers as they design the implementation details of the law.Data SourcesPrivate sector employer data from the 2000, 2001, and 2008 Medical Expenditure Panel Survey‐Insurance Component (MEPS‐IC).Study DesignWe examine time trends in employer offer, eligibility, and take‐up rates. We add a new dimension to the literature by examining dependent coverage and decomposing its trends. We investigate heterogeneity in trends by firm size.Data CollectionThe MEPS‐IC is an annual survey, sponsored by the Agency for Healthcare Research and Quality and co... Health Services Research journals http://www.medworm.com/rss/comments.php?id=5602664 Tue, 17 Jan 2012 05:00:00 +0100 5602664 http://www.medworm.com/index.php?rid=5591046&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01372.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5591046 Sun, 15 Jan 2012 04:02:58 +0100 5591046 http://www.medworm.com/index.php?rid=5591045&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01371.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5591045 Sun, 15 Jan 2012 04:02:56 +0100 5591045 http://www.medworm.com/index.php?rid=5591044&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01375.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5591044 Sun, 15 Jan 2012 04:02:55 +0100 5591044 http://www.medworm.com/index.php?rid=5575578&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01366.x ConclusionsHigh‐performance work practices that integrate FLWs in health care teams and provide FLWs with opportunities for participative decision making can positively influence job satisfaction and perceived quality of care, but only when implemented as bundles of complementary policies and practices. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5575578 Fri, 06 Jan 2012 05:00:00 +0100 5575578 http://www.medworm.com/index.php?rid=5510819&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01359.x ConclusionPhysician practice style for breast cancer is influenced by provider and practice setting characteristics, and it is an important predictor of patient ratings. We identify physician and practice setting factors associated with physician practice style and found associations between physician co‐management and patient outcomes (e.g., patient ratings of care). (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5510819 Thu, 15 Dec 2011 05:00:00 +0100 5510819 http://www.medworm.com/index.php?rid=5510818&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01362.x ConclusionsMaking quality targets more demanding can not only lead to improvement in quality of care but can also have other consequences. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5510818 Thu, 15 Dec 2011 05:00:00 +0100 5510818 http://www.medworm.com/index.php?rid=5510817&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01363.x ConclusionsAdjustment for characteristics influencing PARC use both mitigated and exacerbated racial/ethnic disparities in use. The degree to which the characteristics explained the disparity varied across conditions and outcomes. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5510817 Thu, 15 Dec 2011 05:00:00 +0100 5510817 http://www.medworm.com/index.php?rid=5510816&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01364.x ConclusionsChanges in rates of insurance coverage are likely to affect access to care for both previously and continuously uninsured. In contrast with earlier studies, there is no evidence of spillover effects on the insured, suggesting that such policy changes may have little effect on access for those who are already insured. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5510816 Thu, 15 Dec 2011 05:00:00 +0100 5510816 http://www.medworm.com/index.php?rid=5491507&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01358.x When everyone is required to pay the same out‐of‐pocket amount for health care services regardless of clinical indication, there is evidence of underuse of high‐value services and overuse of interventions of no or marginal clinical benefit. Unlike most current health plan designs, value‐based insurance design (V‐BID) acknowledges heterogeneity of clinical interventions and patient characteristics. It encourages the use of services with strong evidence of clinical benefit and likewise discourages the use of low‐value services. Implementing this concept into the national policy debate required a strategy that included conceptual framework development, program implementation, rigorous evaluation, media outreach, and an advocacy plan. Upon completion of this strategy involving seve... Health Services Research journals http://www.medworm.com/rss/comments.php?id=5491507 Thu, 08 Dec 2011 05:00:00 +0100 5491507 http://www.medworm.com/index.php?rid=5491506&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01355.x Conclusions. Greater area availability of colonoscopists and PCPs is associated with increased use of colonoscopy in whites but decreased use in minorities, resulting in larger racial/ethnic disparities. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5491506 Thu, 08 Dec 2011 05:00:00 +0100 5491506 http://www.medworm.com/index.php?rid=5491505&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01356.x ConclusionsImplementation of minimum nurse staffing legislation in California put substantial financial pressure on some hospitals. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5491505 Thu, 08 Dec 2011 05:00:00 +0100 5491505 http://www.medworm.com/index.php?rid=5491504&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01357.x ConclusionUniversal sickle cell screening of NCAA Division I student‐athletes will identify a substantial number of sickle cell carriers. A successful intervention could prevent about seven deaths over a decade. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5491504 Thu, 08 Dec 2011 05:00:00 +0100 5491504 http://www.medworm.com/index.php?rid=5491503&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01361.x ConclusionThis is the first study to establish national trends of PSIs during the past decade indicating areas for potential quality improvement prioritization. While many factors influence these trends, the results indicate opportunities for either emulation or elimination of current patient safety trends. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5491503 Thu, 08 Dec 2011 05:00:00 +0100 5491503 http://www.medworm.com/index.php?rid=5575577&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01367.x ConclusionsThese are potentially powerful techniques for assessing impacts on hospital activity. Neither intervention reduced admission rates. Although our analysis of hospital utilization controlled for a wide range of observable characteristics, the difference in mortality rates suggests that some residual confounding is likely. Evaluation is constrained when performed retrospectively, and careful interpretation is needed. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5575577 Thu, 01 Dec 2011 05:00:00 +0100 5575577 http://www.medworm.com/index.php?rid=5510815&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01365.x ConclusionNet cost of dementia is lower than the estimates from cross‐sectional studies. Promoting healthy lifestyle to reverse the obesity epidemic is a short‐term priority to confront the epidemic of dementia in the near future. Promoting higher education among the younger generation is a long‐term priority to mitigate the effect of population aging on the dementia epidemic in the distant future. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5510815 Thu, 01 Dec 2011 05:00:00 +0100 5510815 http://www.medworm.com/index.php?rid=5491502&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01360.x ConclusionsResearchers, clinicians, and others should consider a set of factors that help determine when a vignette approach is warranted in research, training, or for other uses, including how best to address identified weaknesses. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5491502 Thu, 01 Dec 2011 05:00:00 +0100 5491502 http://www.medworm.com/index.php?rid=5427009&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01350.x ConclusionThe findings of this comprehensive, comparative cost analyses demonstrated an important average annual savings, though in this underpowered study these savings did not achieve statistical significance. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5427009 Sun, 20 Nov 2011 03:20:43 +0100 5427009 http://www.medworm.com/index.php?rid=5427013&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01353.x ConclusionsNH environments and management practices influence residents’ health outcomes. These findings provide important lessons for administrators and regulators interested in promoting NH quality improvement. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5427013 Fri, 18 Nov 2011 05:00:00 +0100 5427013 http://www.medworm.com/index.php?rid=5427012&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01351.x ConclusionsUnlike previous studies, this analysis finds that hospital mergers are associated with increased treatment intensity and higher inpatient mortality rates among heart disease patients. Access to additional outcome measures such as 30‐day mortality and readmission rates might shed additional light on whether the relationship between these outcomes is causal. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5427012 Fri, 18 Nov 2011 05:00:00 +0100 5427012 http://www.medworm.com/index.php?rid=5427011&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01354.x ConclusionPatient–physician relationships are an important factor in patients taking a more active role in their health and health care. Efforts to increase activation that focus only on individual patients ignore the important fact that the nature of roles and relationships between provider and patient can shape the behaviors and attitudes of patients in ways that support or discourage patient activation. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5427011 Fri, 18 Nov 2011 05:00:00 +0100 5427011 http://www.medworm.com/index.php?rid=5427010&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01352.x ConclusionsInternal management practices may create a setting that supports implementation of specific patient‐focused practices and protocols inherent to TQM/CQI processes. However, the positive effects of internal management practices on treatment center performance occur through use of specific patient‐focused TQM/CPI practices and have more impact when greater amounts of supporting resources are present. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5427010 Fri, 18 Nov 2011 05:00:00 +0100 5427010 http://www.medworm.com/index.php?rid=5415755&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01349.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5415755 Thu, 17 Nov 2011 17:53:13 +0100 5415755 http://www.medworm.com/index.php?rid=5394638&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01346.x ConclusionsDespite having health insurance and a usual source of care, older adults with disabilities encountered greater economic difficulties in seeing a doctor than their counterparts without disabilities. Policy makers should continue addressing the economic burden to improve timely visits to health care providers. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5394638 Tue, 08 Nov 2011 05:00:00 +0100 5394638 http://www.medworm.com/index.php?rid=5394637&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01345.x ConclusionsHeterogeneous state patterns in racial disparity in life expectancy exist. Eliminating disparity in states with large black populations would make the greatest impact nationally. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5394637 Tue, 08 Nov 2011 05:00:00 +0100 5394637 http://www.medworm.com/index.php?rid=5394636&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01344.x ConclusionFew published health services research articles use mixed methods. The frequency of key methodological components is variable. Suggestions are provided to increase the transparency of mixed methods studies and the presence of key methodological components in published reports. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5394636 Tue, 08 Nov 2011 05:00:00 +0100 5394636 http://www.medworm.com/index.php?rid=5394635&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01342.x ConclusionsShort message service reminders in health care settings substantially increase the likelihood of attending clinic appointments. SMS reminders appear to be a simple and efficient option for health services to use to improve service delivery, as well as resulting in health benefits for the patients who receive the reminders. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5394635 Tue, 08 Nov 2011 05:00:00 +0100 5394635 http://www.medworm.com/index.php?rid=5353820&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01341.x ConclusionsBy collaboration, a large EMS agency and a research team were able to develop and implement a revised resuscitation policy within 1 year. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5353820 Thu, 27 Oct 2011 04:00:00 +0100 5353820 http://www.medworm.com/index.php?rid=5353819&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01339.x ConclusionBeing insured increases only the likelihood that a child with intermittent, not persistent, asthma symptoms will receive an asthma diagnosis and control medication, and it may not reduce acute care utilization. Although universal insurance may increase detection and management of undiagnosed childhood asthma, theorized cost savings from reduced acute care utilization might not materialize. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5353819 Thu, 27 Oct 2011 04:00:00 +0100 5353819 http://www.medworm.com/index.php?rid=5353818&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01337.x ConclusionsLatinos and African Americans were at highest risk of missing planned primary care appointments. PAK was associated with a greater reliance on same‐day visits and substantively poorer clinical outcomes. These results have important implications for public health and health plan policy, as primary care rapidly expands toward open access to care supported by the patient‐centered medical home model. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5353818 Thu, 27 Oct 2011 04:00:00 +0100 5353818 http://www.medworm.com/index.php?rid=5353817&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01340.x ConclusionsEstimates of adverse event costs are highly sensitive to coding error. Adverse event costs may be significantly underestimated if the likelihood of error is ignored. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5353817 Thu, 27 Oct 2011 04:00:00 +0100 5353817 http://www.medworm.com/index.php?rid=5329152&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01329.x ConclusionsThe studied video‐interpreting network had minimal impact on health care outcomes in the ED. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5329152 Tue, 18 Oct 2011 04:00:00 +0100 5329152 http://www.medworm.com/index.php?rid=5329151&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01330.x ConclusionsIncluding safety‐net providers, specialty physicians, hospitals, and community stakeholders in all steps of development allowed us to respond to potential barriers and implement a navigated care model for the uninsured. This process, whereby we integrated principles from CBPR, may be relevant for future capacity‐building efforts to accommodate the specialty care needs of other vulnerable populations. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5329151 Tue, 18 Oct 2011 04:00:00 +0100 5329151 http://www.medworm.com/index.php?rid=5329150&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01331.x ConclusionsUsing claims data to identify physician networks may provide an insight into the observed variation in treatment patterns for men with prostate cancer. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5329150 Tue, 18 Oct 2011 04:00:00 +0100 5329150 http://www.medworm.com/index.php?rid=5329149&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01332.x Conclusion.Almost half of all practices fail to meet NCQA standards for medical home recognition. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5329149 Tue, 18 Oct 2011 04:00:00 +0100 5329149 http://www.medworm.com/index.php?rid=5329148&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01333.x ConclusionThe empirical analysis based on United States and Italian data corroborates these results. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5329148 Tue, 18 Oct 2011 04:00:00 +0100 5329148 http://www.medworm.com/index.php?rid=5329147&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01334.x ConclusionsPrograms in the five countries studied have lessons, both positive and negative, relevant to CLASS design. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5329147 Tue, 18 Oct 2011 04:00:00 +0100 5329147 http://www.medworm.com/index.php?rid=5329146&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01335.x ConclusionsBuprenorphine treatment can be provided at low cost in countries across the world. This study's new costing methodologies provide tools for health systems worldwide to determine the feasibility and cost of similar interventions. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5329146 Tue, 18 Oct 2011 04:00:00 +0100 5329146 http://www.medworm.com/index.php?rid=5394634&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01343.x ConclusionsThe productivity and cost‐efficiency of a practice model depend heavily on how providers organize their work and a variety of other factors related to the practice environment. Queueing theory provides useful tools to take into account these factors in making strategic decisions on staffing and panel size selection for a practice model. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5394634 Sat, 01 Oct 2011 04:00:00 +0100 5394634 http://www.medworm.com/index.php?rid=5372319&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01347.x ConclusionsThese results highlight the need for more comprehensive reporting on PRECIS and related criteria for research translation. The PRECIS criteria provide a richer understanding of the POWER studies. It is not clear whether the original criteria are sufficient to provide a comprehensive profile. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5372319 Sat, 01 Oct 2011 04:00:00 +0100 5372319 http://www.medworm.com/index.php?rid=5353816&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01338.x ConclusionsThe organization was willing to adopt a relatively straightforward change in how data were collected and presented to patients based on the face validity of initial findings. This organizational policy change appeared to improve how self‐reported physician language proficiency was characterized. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5353816 Sat, 01 Oct 2011 04:00:00 +0100 5353816 http://www.medworm.com/index.php?rid=5329145&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01336.x ConclusionsManagers in Chinese public hospitals should consider whether the culture of their organization will enable them to respond effectively to their changing environment. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5329145 Sat, 01 Oct 2011 04:00:00 +0100 5329145 http://www.medworm.com/index.php?rid=5266953&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01320.x ConclusionsThe lessons of more recent successes—almost all of which were achieved via abrupt leaps—strongly indicate the importance of leadership in taking advantage of generalized economic and political pressures to achieve universal health insurance. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266953 Fri, 30 Sep 2011 05:05:11 +0100 5266953 http://www.medworm.com/index.php?rid=5266954&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01312.x ConclusionThe findings suggest that HIV care decentralization is likely to enhance equity in access to ART. Decentralization appears, however, to be a necessary but insufficient condition to fully remove the risk of CHE, unless other innovative reforms in health financing are introduced. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266954 Mon, 26 Sep 2011 04:00:00 +0100 5266954 http://www.medworm.com/index.php?rid=5266964&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01318.x ConclusionsClosure or for‐profit conversions of SNHs appear to have detrimental access effects on particular subgroups of disadvantaged populations, although our results are somewhat inconclusive due to potential power issues. Policy makers may need to pay special attention to these patient subgroups and also to easing transportation barriers when dealing with disruptions resulting from reductions in SNH resources. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266964 Fri, 23 Sep 2011 04:00:00 +0100 5266964 http://www.medworm.com/index.php?rid=5266963&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01319.x ConclusionsDeterioration in geographic access to ED affects a small segment of the population, and most adverse effects are transitory. Policy planners can minimize the adverse effects by providing assistance to ensure adequate capacity of remaining EDs, and facilitating the realignment of health care resources during the critical transition periods. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266963 Fri, 23 Sep 2011 04:00:00 +0100 5266963 http://www.medworm.com/index.php?rid=5266962&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01321.x ConclusionsIn this study, we found that CBHI has the potential to not only protect household assets but also increase household assets. However, similar studies from developing countries that evaluate the impact of health insurance on household economic indicators are needed to benchmark these results with other settings. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266962 Fri, 23 Sep 2011 04:00:00 +0100 5266962 http://www.medworm.com/index.php?rid=5266961&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01322.x ConclusionsDifferences in the predictors of attrition across ethnic groups of elderly could potentially lead to biased estimates in health‐related research using longitudinal data sources. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266961 Fri, 23 Sep 2011 04:00:00 +0100 5266961 http://www.medworm.com/index.php?rid=5266960&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01323.x ConclusionsAccess to health care and within‐country inequalities appear to have improved over the past decade. However, considerable problems remain, including out‐of‐pocket payments and unaffordability despite efforts to improve financial protection. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266960 Fri, 23 Sep 2011 04:00:00 +0100 5266960 http://www.medworm.com/index.php?rid=5266959&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01324.x ConclusionsHealth care use during PT episodes was lower for those who self‐referred, after adjusting for key variables, but did not differ after the PT episode. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266959 Fri, 23 Sep 2011 04:00:00 +0100 5266959 http://www.medworm.com/index.php?rid=5266958&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01325.x ConclusionsDepending on the specific disease, caution has to be taken while using short disease‐free periods because incidence estimates may be extremely overestimated. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266958 Fri, 23 Sep 2011 04:00:00 +0100 5266958 http://www.medworm.com/index.php?rid=5266957&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01326.x ConclusionsThis study reveals that the financial burden to the public health system of childhood overweight and obesity occurs even during the first 5 years of primary school. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266957 Fri, 23 Sep 2011 04:00:00 +0100 5266957 http://www.medworm.com/index.php?rid=5266956&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01327.x ConclusionsVeterans’ receipt of major cancer surgery outside the VHA probably reflects usual private sector care among veterans who are infrequent VHA users. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266956 Fri, 23 Sep 2011 04:00:00 +0100 5266956 http://www.medworm.com/index.php?rid=5266955&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01328.x ConclusionsFollowing the implementation of health reform, disparities may potentially worsen if safety net hospitals’ burden of care increases without commensurate increases in reimbursement and staffing levels. This study also suggests that Medicaid expansions may not improve outcomes in inpatient breast cancer care within the safety net system. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5266955 Fri, 23 Sep 2011 04:00:00 +0100 5266955 http://www.medworm.com/index.php?rid=5202330&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01178.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5202330 Sun, 11 Sep 2011 01:51:12 +0100 5202330 http://www.medworm.com/index.php?rid=5178668&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01310.x ConclusionThese data support the relationship between hospital volume and quality health care delivery in select surgical cases. This study highlights differences between hospital volume and risk‐adjusted PSI rates for three common surgical procedures and highlights areas of focus for future studies to identify pathways to reduce hospital‐acquired events. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5178668 Mon, 29 Aug 2011 23:00:00 +0100 5178668 http://www.medworm.com/index.php?rid=5178667&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01311.x ConclusionsThere is a need for greater study of large for‐profit chains as well as those chains purchased by PE companies. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5178667 Mon, 29 Aug 2011 23:00:00 +0100 5178667 http://www.medworm.com/index.php?rid=5178666&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01315.x ConclusionsBehind‐the‐counter statins have the potential to simultaneously increase use of statins and lower expenditures. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5178666 Mon, 29 Aug 2011 23:00:00 +0100 5178666 http://www.medworm.com/index.php?rid=5178665&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01313.x ConclusionsGeneral practitioners and medical specialists report more problems in well‐being than private physicians. It is of particular importance to be aware of the sector‐specific difficulties in work environments. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5178665 Mon, 29 Aug 2011 23:00:00 +0100 5178665 http://www.medworm.com/index.php?rid=5178664&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01316.x ConclusionsClaims data can be used to efficiently identify minorities for participation in clinical trials. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5178664 Mon, 29 Aug 2011 23:00:00 +0100 5178664 http://www.medworm.com/index.php?rid=5153569&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01303.x Conclusionsfs/QCA identified important associations that were overlooked using conventional statistics in a small‐N health services data set. PCMH capabilities are associated with quality outcomes. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5153569 Sun, 21 Aug 2011 23:00:00 +0100 5153569 http://www.medworm.com/index.php?rid=5153568&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01304.x ConclusionsPersonal CAM use by health care workers may influence the integration of CAM with conventional health care delivery. Future research on the effects of personal CAM use by health care workers is therefore warranted. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5153568 Sun, 21 Aug 2011 23:00:00 +0100 5153568 http://www.medworm.com/index.php?rid=5153567&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01306.x ConclusionsOur findings suggest that the release of quality information affected nursing home behavior, especially pricing and quality decisions among low‐quality facilities. Policy makers should continue to monitor quality and prices for self‐pay residents and scrutinize low‐quality homes over time to see whether they are on a pathway to improve quality. In addition, policy makers should not expect public reporting to result in quick fixes to nursing home quality problems. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5153567 Sun, 21 Aug 2011 23:00:00 +0100 5153567 http://www.medworm.com/index.php?rid=5153566&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01307.x ConclusionsThere was a modest effect of long wait times on primary care utilization but no robust effect of longer wait times on health outcomes. Waiting for care did not significantly compromise long‐term health outcomes for veterans with diabetes. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5153566 Sun, 21 Aug 2011 23:00:00 +0100 5153566 http://www.medworm.com/index.php?rid=5153565&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01308.x ConclusionsNonfinancial barriers are common reasons for unmet need or delayed care among U.S. adults and frequently coincide with affordability barriers. Failure to address nonfinancial barriers may limit the impact of policies that seek to expand access by improving the affordability of health care. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5153565 Sun, 21 Aug 2011 23:00:00 +0100 5153565 http://www.medworm.com/index.php?rid=5153564&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01309.x ConclusionsInsurers provide consumers information on cost efficiency, quality, and wellness through Internet‐based decision tools, but more effort is needed to reach certain demographics. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5153564 Sun, 21 Aug 2011 23:00:00 +0100 5153564 http://www.medworm.com/index.php?rid=5123669&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01299.x ConclusionsThe CG‐CAHPS® functions similarly across commercially insured respondents from diverse backgrounds. Consequently, previously documented racial and ethnic group differences likely reflect true differences rather than measurement bias. The impact of low precision at the upper end of the scale should be clarified. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5123669 Wed, 10 Aug 2011 23:00:00 +0100 5123669 http://www.medworm.com/index.php?rid=5123668&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01300.x ConclusionsPOA reporting of secondary diagnoses is moderately accurate but varies by hospitals. Steps should be taken to improve POA reporting accuracy before using POA in hospital assessments tied to payments. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5123668 Wed, 10 Aug 2011 23:00:00 +0100 5123668 http://www.medworm.com/index.php?rid=5178663&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01314.x ConclusionsIt is important to understand why interaction terms are included in nonlinear models in order to be clear about their substantive interpretation. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5178663 Sun, 31 Jul 2011 23:00:00 +0100 5178663 http://www.medworm.com/index.php?rid=5153563&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01305.x ConclusionsThis study highlights the high accuracy of patient self‐reported R/E/A/L data entry and identifies some areas for improvement in staff training and technical system design to facilitate further progress. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5153563 Sun, 31 Jul 2011 23:00:00 +0100 5153563 http://www.medworm.com/index.php?rid=5136774&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01301.x ObjectiveTo determine whether Medicare managed care penetration impacted the diffusion of endoscopy services (sigmoidoscopy, colonoscopy) among the fee‐for‐service (FFS) Medicare population during 2001–2006.MethodsWe model utilization rates for colonoscopy or sigmoidoscopy as impacted by both market supply and demand factors. We use spatial regression to perform ecological analysis of county‐area utilization rates over two time intervals (2001–2003, 2004–2006) following Medicare benefits expansion in 2001 to cover colonoscopy for persons of average risk. We examine each technology in separate cross‐sectional regressions estimated over early and later periods to assess differential effects on diffusion over time. We discuss selection factors in managed care markets and how fai... Health Services Research journals http://www.medworm.com/rss/comments.php?id=5136774 Sun, 31 Jul 2011 23:00:00 +0100 5136774 http://www.medworm.com/index.php?rid=5123667&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01302.x ConclusionAssessment of physician practices for PCMH qualification should consider both patient based patient‐centered care measures and practice infrastructure measures. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5123667 Sun, 31 Jul 2011 23:00:00 +0100 5123667 http://www.medworm.com/index.php?rid=5060937&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01298.x Conclusions. The lack of competition in many nursing home markets may help to explain why the NHQI report card effort had a minimal effect on nursing home quality. With the introduction of market‐based reforms such as report cards, this result suggests policy makers must also consider market structure in efforts to improve nursing home performance. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5060937 Mon, 25 Jul 2011 17:46:21 +0100 5060937 http://www.medworm.com/index.php?rid=5060941&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01294.x Conclusions. Physicians in highly capitated practices had the lowest total costs and intensity of care, suggesting that these physicians develop an overall approach to care that also applies to their FFS patients. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5060941 Sun, 24 Jul 2011 23:00:00 +0100 5060941 http://www.medworm.com/index.php?rid=5060940&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01295.x Conclusions. HSMRs in most hospitals changed by only small amounts from the various adjustment methods tried here, though small‐to‐medium changes were not uncommon. However, the position relative to funnel plot control limits could move in a significant minority even with modest changes in the HSMR. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5060940 Sun, 24 Jul 2011 23:00:00 +0100 5060940 http://www.medworm.com/index.php?rid=5060939&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01296.x Conclusion. The results suggest that comparative effectiveness research studies that report negative results can reduce spending, but specialists may be reluctant to relinquish cutting‐edge technologies. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5060939 Sun, 24 Jul 2011 23:00:00 +0100 5060939 http://www.medworm.com/index.php?rid=5060938&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01297.x Conclusions. The hybrid panel process facilitated information exchange and tightened rating distributions. Future assessments of this method might include a control panel. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5060938 Sun, 24 Jul 2011 23:00:00 +0100 5060938 http://www.medworm.com/index.php?rid=5034640&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01293.x Conclusions. Our study highlights depressive symptoms as a risk factor for poorer experiences of health care and highlights depressed patients' confidence in recognizing their need for care and for designing programs to improve the health care of this population. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5034640 Sun, 17 Jul 2011 16:36:29 +0100 5034640 http://www.medworm.com/index.php?rid=5034645&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01288.x Conclusions. Hospitals charge significantly higher prices and earn significantly higher contribution margins from private insurers than from Medicare for patients undergoing cardiac valve replacement. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5034645 Thu, 14 Jul 2011 23:00:00 +0100 5034645 http://www.medworm.com/index.php?rid=5034644&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01289.x Conclusions. Our findings suggest that simply reimbursing physicians for FV provision is insufficient to ensure provider participation. Success of this policy will likely require addressing several barriers identified. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5034644 Thu, 14 Jul 2011 23:00:00 +0100 5034644 http://www.medworm.com/index.php?rid=5034643&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01290.x Conclusions. International comparisons of health system performance based on unadjusted patient safety indicators are problematic due to suspected coding or ascertainment bias. The model could be an interim approach to provide comparable information on hospital quality, with a long‐term goal of improving international consistency in diagnostic reporting in administrative data. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5034643 Thu, 14 Jul 2011 23:00:00 +0100 5034643 http://www.medworm.com/index.php?rid=5034642&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01291.x Conclusions. From a policy perspective, improvements in responsiveness may require higher spending levels. The expansion of nonpublic sector provision, perhaps in the form of increased patient choice, may also serve to improve responsiveness. However, these inferences are tentative and require further study. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5034642 Thu, 14 Jul 2011 23:00:00 +0100 5034642 http://www.medworm.com/index.php?rid=5034641&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01292.x Conclusions. Patient‐reported medical home quality indicators are favorably associated with HRQOL and measures of school engagement among Latino children in low‐income families. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5034641 Thu, 14 Jul 2011 23:00:00 +0100 5034641 http://www.medworm.com/index.php?rid=5004767&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01281.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5004767 Thu, 07 Jul 2011 19:24:14 +0100 5004767 http://www.medworm.com/index.php?rid=5004766&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01177.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=5004766 Thu, 07 Jul 2011 19:24:05 +0100 5004766 http://www.medworm.com/index.php?rid=4950573&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01282.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4950573 Sun, 19 Jun 2011 23:00:00 +0100 4950573 http://www.medworm.com/index.php?rid=4950572&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01283.x Conclusion. Comparative Logic Modeling can be used by health services researchers and policy analysts more generally to evaluate structural differences in health policies and to analyze research‐based rationales used by policy makers. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4950572 Sun, 19 Jun 2011 23:00:00 +0100 4950572 http://www.medworm.com/index.php?rid=4950571&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01284.x Conclusions. Caregivers' reports of the severity of a child's activity limitations effectively summarize the effects of conditions and impairments on the child's ADL performance and have a significant impact on the level of services provided. Assessors often respond differently to children's characteristics and circumstances as they move from assessment to decisions concerning care provision. Our results imply that the provision of appropriate services may be enhanced when both case managers and caregivers play an active role in decisions concerning care provision. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4950571 Sun, 19 Jun 2011 23:00:00 +0100 4950571 http://www.medworm.com/index.php?rid=4950570&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01285.x Conclusion. Because of the limitations inherent to hospital discharge records, making quality comparisons in terms of patient outcomes is challenging. As such, any efforts to assess quality in such a manner must be carried out cautiously. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4950570 Sun, 19 Jun 2011 23:00:00 +0100 4950570 http://www.medworm.com/index.php?rid=4950569&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01286.x Conclusion. Medication copayment increases are associated with different impacts for low‐ and high‐risk patients. High‐risk patients incur greater out‐of‐pocket costs from continued adherence, while low‐risk patients put themselves at increased risk for adverse health events due to greater nonadherence. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4950569 Sun, 19 Jun 2011 23:00:00 +0100 4950569 http://www.medworm.com/index.php?rid=4900184&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01278.x Conclusions. Low‐health spending by foreign‐born Latinos contributes to health expenditure disparities between Latinos and whites. Our findings provide preliminary evidence on health‐spending convergence over time between foreign‐born Latinos and that of whites. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4900184 Thu, 02 Jun 2011 23:00:00 +0100 4900184 http://www.medworm.com/index.php?rid=4900183&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01279.x Conclusions. This study shows that the mix of fee‐for‐service and MA enrollees, demographic characteristics of populations, and plan‐specific factors can all play a role in observed regional variations. Anticipating value‐based payments, further study of successful MA plans could generate lessons for enhancing patient experience for the Medicare population. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4900183 Thu, 02 Jun 2011 23:00:00 +0100 4900183 http://www.medworm.com/index.php?rid=4950568&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01287.x Conclusion. The findings of this study raise questions about the appropriateness and unintended consequences of employing patient‐directed financial incentives in health care settings. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4950568 Tue, 31 May 2011 23:00:00 +0100 4950568 http://www.medworm.com/index.php?rid=4909410&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01277.x Conclusions. The prevalence of conditions needing less frequent health care utilization (e.g., arthritis) may be underestimated by the CCW algorithm. The CCW reference periods may not be sufficient for all analytic purposes. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4909410 Tue, 31 May 2011 23:00:00 +0100 4909410 http://www.medworm.com/index.php?rid=4900182&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01280.x Conclusions. Rural hospital ownership affects medical service provision at the hospital and market levels. Nonprofit hospital regulation should reflect both the direct and spillover effects of ownership. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4900182 Tue, 31 May 2011 23:00:00 +0100 4900182 http://www.medworm.com/index.php?rid=4860091&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01276.x Conclusions. On average, greater medical spending is associated with better health status of Medicare beneficiaries, implying that across‐the‐board reductions in Medicare spending may result in poorer health for some beneficiaries. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4860091 Wed, 25 May 2011 21:39:37 +0100 4860091 http://www.medworm.com/index.php?rid=4860095&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01272.x Conclusions. Our findings lend support to an episode payment adjusted by number of months receiving CCD and a monthly payment adjusted by the ordinal month. Nonpayment tools including program certification and performance evaluation and reward systems are needed to fully align incentives. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4860095 Mon, 23 May 2011 23:00:00 +0100 4860095 http://www.medworm.com/index.php?rid=4860094&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01273.x Conclusions. Although there was a substantial reduction in out‐of‐pocket costs and a moderate increase in medication utilization among Medicare beneficiaries during the first year after Part D, there was no evidence of improvement in emergency department use, hospitalizations, or preference‐based health utility for those eligible for Part D during its first year of implementation. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4860094 Mon, 23 May 2011 23:00:00 +0100 4860094 http://www.medworm.com/index.php?rid=4860093&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01275.x Conclusions. Reductions in MA payment rates may result in a small increase in ACS admissions. Trends in ACS admissions among chronically ill Medicare beneficiaries should be tracked following MA payment cuts. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4860093 Mon, 23 May 2011 23:00:00 +0100 4860093 http://www.medworm.com/index.php?rid=4860092&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01274.x Conclusions. MDCS requirements change staffing levels and skill mix, improve certain aspects of quality, but can also lead to use of care practices associated with lower quality. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4860092 Mon, 23 May 2011 23:00:00 +0100 4860092 http://www.medworm.com/index.php?rid=4810979&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01270.x Conclusion. This study suggests that there are two distinct types of CAM User that must be considered in future health services research and policy decisions. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4810979 Thu, 12 May 2011 03:17:30 +0100 4810979 http://www.medworm.com/index.php?rid=4810980&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01269.x Conclusions. Approximately 4.5 million ambulatory visits related to ADEs occur each year, the majority of these in outpatient office practices. A greater focus on ADE prevention and detection is warranted among patients receiving multiple medications in primary care practices. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4810980 Sun, 08 May 2011 23:00:00 +0100 4810980 http://www.medworm.com/index.php?rid=4779071&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01176.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4779071 Wed, 04 May 2011 00:28:22 +0100 4779071 http://www.medworm.com/index.php?rid=4740665&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01265.x Conclusions. Orthopedists and primary care physicians who begin billing for the performance of MRI procedures, rather than referring patients outside of their practice for MRI, appear to change their practice patterns such that they use more MRI for their patients with low back pain. These increases in MRI use appear to lead to increases in low back surgery receipt and health care spending among patients of orthopedic surgeons, but not of primary care physicians. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4740665 Wed, 20 Apr 2011 23:00:00 +0100 4740665 http://www.medworm.com/index.php?rid=4740664&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01266.x Conclusions. Liberians value technical quality of care over convenience, courtesy, and public management in selecting clinics for curative care. This suggests that investments in improved competence of providers and availability of medicines may increase population utilization of essential services as well as promote better clinical outcomes. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4740664 Wed, 20 Apr 2011 23:00:00 +0100 4740664 http://www.medworm.com/index.php?rid=4740663&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01267.x Conclusions. Postdischarge utilization costs could potentially be reduced by investment in nursing care hours to better prepare patients before hospital discharge. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4740663 Wed, 20 Apr 2011 23:00:00 +0100 4740663 http://www.medworm.com/index.php?rid=4713363&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01261.x Conclusions. Offering fax options increases response rates, but providing other electronic options does not. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4713363 Wed, 13 Apr 2011 23:00:00 +0100 4713363 http://www.medworm.com/index.php?rid=4713362&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01264.x Conclusions. Lottery‐based incentives do not improve clinicians' response rates compared with no incentives, and they are inferior to unconditional fixed payments. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4713362 Wed, 13 Apr 2011 23:00:00 +0100 4713362 http://www.medworm.com/index.php?rid=4752165&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01262.x Conclusions. Patient sharing identified using administrative data is an informative “diagnostic test” for predicting the existence of relationships between physicians. This finding validates a method that can be used for future research to map networks of physicians. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4752165 Thu, 31 Mar 2011 23:00:00 +0100 4752165 http://www.medworm.com/index.php?rid=4740662&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01268.x A fundamental assumption of the quality‐adjusted life year model is mutual utility independence between life years and health status. However, this assumption may not hold for severe health states: living in a severe health state may cause disutility beyond a so‐called maximal endurable time (MET). It is unknown, however, whether persons without experience of a disease, who are often used in health state valuation exercises, account for MET. Using data from 159 respondents from two convenience samples in Germany who were presented a health state description of depression, this study shows that persons without experience of depression had a lower rate of MET than persons with a history of depression. Furthermore, they had more preference reversals in case of MET, thus violating a fundam... Health Services Research journals http://www.medworm.com/rss/comments.php?id=4740662 Thu, 31 Mar 2011 23:00:00 +0100 4740662 http://www.medworm.com/index.php?rid=4713361&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01263.x Conclusions. Annual eye evaluations are costly and add little benefit compared with either plausible alternative. More research on the ability of telemedicine to detect other eye conditions is needed to determine whether it is more cost‐effective than biennial eye evaluation. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4713361 Thu, 31 Mar 2011 23:00:00 +0100 4713361 http://www.medworm.com/index.php?rid=4675295&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01257.x Conclusions. The cost of improving glucose management appears modest relative to diabetes‐related health care expenditures. The incremental cost per patient newly attaining HEDIS goals enables payers to consider costs as well as outcomes that are linked to future profitability. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4675295 Thu, 31 Mar 2011 23:00:00 +0100 4675295 http://www.medworm.com/index.php?rid=4657329&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01259.x Conclusions. Both Leapfrog and HIMSS data have strengths and weaknesses. Those interested in studying outcomes associated with CPOE use or adoption should be aware of the strengths and limitations of the Leapfrog and HIMSS datasets. Future development of a standard definition of CPOE status in hospitals will allow for a more comprehensive validation of these data. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4657329 Thu, 31 Mar 2011 01:14:53 +0100 4657329 http://www.medworm.com/index.php?rid=4657330&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01258.x Conclusion. We conclude that direct access to OB/GYNs is not related to improvements in maternal health behaviors or infant health outcomes. If policy makers are interested in reforms that improve maternal and infant health, we recommend a focus on alternative policies. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4657330 Tue, 29 Mar 2011 23:00:00 +0100 4657330 http://www.medworm.com/index.php?rid=4604608&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01253.x Conclusions. Positive exposure findings suggest that intensive follow‐up programs shown to reduce disparities in chronic‐care management may have additional indirect effects on reducing mental health care disparities. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4604608 Fri, 18 Mar 2011 01:50:23 +0100 4604608 http://www.medworm.com/index.php?rid=4604612&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01249.x Conclusion. Perinatal regionalization is the consequence of a complex set of provider and patient decisions, and it is difficult to alter with a voluntary program. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4604612 Thu, 17 Mar 2011 00:00:00 +0100 4604612 http://www.medworm.com/index.php?rid=4604611&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01250.x Conclusions. Higher adherence with RAAS‐Is and statins by Medicare beneficiaries with diabetes results in lower cumulative Medicare spending over 3 years. At the margin, Medicare savings exceed the cost of the drugs. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4604611 Thu, 17 Mar 2011 00:00:00 +0100 4604611 http://www.medworm.com/index.php?rid=4604610&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01251.x Conclusions. Nurse out‐migration depletes Kenya's nursing workforce of its most highly educated nurses, reduces the percentage of younger nurses in an aging nursing stock, decreases Kenya's ability to increase its nursing workforce through training, and represents a substantial economic loss to the country. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4604610 Thu, 17 Mar 2011 00:00:00 +0100 4604610 http://www.medworm.com/index.php?rid=4604609&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01252.x Conclusions. Switching to an HDHP that included modest drug copayments did not change medication availability or reduce use of essential medications for three common chronic illnesses. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4604609 Thu, 17 Mar 2011 00:00:00 +0100 4604609 http://www.medworm.com/index.php?rid=4543912&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01260.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4543912 Fri, 04 Mar 2011 05:26:14 +0100 4543912 http://www.medworm.com/index.php?rid=4543911&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01256.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4543911 Fri, 04 Mar 2011 05:26:14 +0100 4543911 http://www.medworm.com/index.php?rid=4543910&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01255.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4543910 Fri, 04 Mar 2011 05:26:06 +0100 4543910 http://www.medworm.com/index.php?rid=4543909&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01254.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4543909 Fri, 04 Mar 2011 05:26:05 +0100 4543909 http://www.medworm.com/index.php?rid=4543908&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01175.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4543908 Fri, 04 Mar 2011 05:26:05 +0100 4543908 http://www.medworm.com/index.php?rid=4520959&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01247.x Conclusion. The comprehensive strategy, following a quality improvement framework, with a top‐down top‐management incentives and monitoring, and a bottom‐up locally tailored interventions, approach, is showing promising results of overall quality improvement coupled with disparity reduction in key health and health care indicators. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4520959 Fri, 25 Feb 2011 00:00:00 +0100 4520959 http://www.medworm.com/index.php?rid=4454289&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01237.x Conclusions. Although Medicaid costs decreased with the change in days supply policy, these savings were due to reduced adherence to these chronic medications. Additional research should examine the effect of these policy changes from the perspective of Medicaid enrollees. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4454289 Wed, 09 Feb 2011 00:00:00 +0100 4454289 http://www.medworm.com/index.php?rid=4454288&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01238.x Conclusions. Transitions from private to public health coverage by children can bring important social benefits to vulnerable families. This suggests that instead of being a net societal cost, such transitions may provide an important social benefit. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4454288 Wed, 09 Feb 2011 00:00:00 +0100 4454288 http://www.medworm.com/index.php?rid=4454287&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01239.x Conclusions. Under the Health Care Effectiveness Data and Information Set program, which monitors the attainment of blood pressure treatment goals, payers will find it slightly more cost‐effective to improve care for moderate than severe hypertension. Having a secondary, relaxed goal would substantially increase payers' incentive to improve care for severe hypertension. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4454287 Wed, 09 Feb 2011 00:00:00 +0100 4454287 http://www.medworm.com/index.php?rid=4454286&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01240.x Conclusions. USOC was associated with lower depression prevalence and higher realized access (ACU) among community‐dwelling Medicare beneficiaries. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4454286 Wed, 09 Feb 2011 00:00:00 +0100 4454286 http://www.medworm.com/index.php?rid=4454285&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01241.x Conclusions. There was wide variation in select measures of EMT partner familiarity. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4454285 Wed, 09 Feb 2011 00:00:00 +0100 4454285 http://www.medworm.com/index.php?rid=4454284&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01242.x Conclusions. Health reform policies currently envisioned to improve care and lower costs may have small effects on high‐cost patients who consume most resources. Instead, developing interventions tailored to improve care and lowering cost for specific types of complex and costly patients may hold greater potential for “bending the cost curve.” (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4454284 Wed, 09 Feb 2011 00:00:00 +0100 4454284 http://www.medworm.com/index.php?rid=4454283&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01243.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4454283 Wed, 09 Feb 2011 00:00:00 +0100 4454283 http://www.medworm.com/index.php?rid=4454282&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01244.x Conclusions. The increase in drug coverage associated with Medicare Part D had positive effects on the health of elderly Americans, which reduced use of nondrug health care resources. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4454282 Wed, 09 Feb 2011 00:00:00 +0100 4454282 http://www.medworm.com/index.php?rid=4454281&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01245.x Conclusion. Managed care may provide less uniform care than FFS for patients; specifically there may be larger disparities in MA than FFS between beneficiaries who have low incomes, are less healthy, older, female, and who did not complete high school, compared with their counterparts. There may be potential for MA quality improvement targeted at the care provided to particular subgroups. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4454281 Wed, 09 Feb 2011 00:00:00 +0100 4454281 http://www.medworm.com/index.php?rid=4520958&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01248.x Conclusions. Community‐based interventions can influence key measures of IDM about PSA screening. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4520958 Tue, 01 Feb 2011 00:00:00 +0100 4520958 http://www.medworm.com/index.php?rid=4454280&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2011.01246.x Conclusion. Policies addressing access to health care are likely to be more successful in addressing unmet needs than policies focused on disability‐specific issues in health for youth who lose access to SSI after their age‐18 redetermination. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4454280 Tue, 01 Feb 2011 00:00:00 +0100 4454280 http://www.medworm.com/index.php?rid=4410520&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01236.x Conclusions. Survey mode was associated with several sociodemographic characteristics. Sole use of web surveys could provide biased data. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4410520 Fri, 28 Jan 2011 21:46:42 +0100 4410520 http://www.medworm.com/index.php?rid=4410525&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01231.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4410525 Fri, 28 Jan 2011 00:00:00 +0100 4410525 http://www.medworm.com/index.php?rid=4410524&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01232.x (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4410524 Fri, 28 Jan 2011 00:00:00 +0100 4410524 http://www.medworm.com/index.php?rid=4410523&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01233.x Conclusion. The findings suggest that American's believe that health IT adoption is an effective means to improve the quality and safety of health care. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4410523 Fri, 28 Jan 2011 00:00:00 +0100 4410523 http://www.medworm.com/index.php?rid=4410522&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01234.x Conclusions. Communication‐based interventions may improve experiences and ratings of care for all subgroups, although implementation of these interventions may need to consider preferences associated with race, ethnicity, and language. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4410522 Fri, 28 Jan 2011 00:00:00 +0100 4410522 http://www.medworm.com/index.php?rid=4410521&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01235.x Conclusions. Our algorithm using asthma‐specific markers from administrative claims databases provided moderate sensitivity and high specificity. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4410521 Fri, 28 Jan 2011 00:00:00 +0100 4410521 http://www.medworm.com/index.php?rid=4317238&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01228.x Conclusions. The VA and similar health systems should make efforts to insure adequate psychotherapy is provided to patients who initiate treatment at small community clinics and provide psychotherapy alternatives that may be less sensitive to travel barriers for patients living remote distances from mental health treatment. Extending services to small community clinics that support antidepressant treatment should also be considered. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4317238 Fri, 07 Jan 2011 00:35:05 +0100 4317238 http://www.medworm.com/index.php?rid=4317244&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01222.x Conclusions. The quality of care for colorectal cancer provided by a hospital system is somewhat consistent across the immediate postoperative and long‐term follow‐up periods. Combining mortality profiles across longer periods may improve the statistical reliability of outcome comparisons. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4317244 Thu, 06 Jan 2011 00:00:00 +0100 4317244 http://www.medworm.com/index.php?rid=4317243&cid=s_31294_51_f&fid=31294&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1475-6773.2010.01223.x Conclusions. One quarter of ADAP enrollees had MPR below 69 percent, a level well below that associated with optimal HIV treatment outcomes, indicating a need for programmatic interventions to improve ADAP utilization. (Source: Health Services Research) Health Services Research journals http://www.medworm.com/rss/comments.php?id=4317243 Thu, 06 Jan 2011 00:00:00 +0100 4317243